Joan Rivers‘  ear, nose, and throat doctor has been reported to have taken a selfie with the comedienne while she was under general anesthesia.

Reports have it that a Yorkville Endoscopy staff member told investigators that the photograph was taken while Rivers was in the procedure room for her throat surgery.

The 81-year-old entertainer was in the clinic to undergo a scheduled endoscopy by gastroenterologist and the clinic’s medical director Dr. Lawrence Cohen, according to reports. After that procedure, reports also claim that Rivers also underwent an unauthorized vocal cord biopsy performed by a physician, who hasn’t been identified.

On Friday Yorkville Endoscopy announced Dr. Cohen was no longer medical director of the clinic, located in Manhattan. Reports are conflicting as to whether he voluntarily stepped down or was fired.